About Us
The Coalition Against Surprise Medical Billing represents leading employer groups, unions, health insurance providers, and the tens of millions of people they employ and serve each day. Together, we support comprehensive protections for Americans against surprise medical bills, including:
- Ensuring that as implementation continues, the No Surprises Act regulations remain in place to serve patients and end the practice of out-of-network providers sending surprise medical bills—while also lowering costs.
- Maintaining fair and market-based payments for out-of-network care; and
- Reducing Americans’ health insurance premiums and taxpayers’ costs by avoiding an arbitration process that adds unnecessary cost, delay, and red tape to the health system.
By the Numbers: Surprise Medical Billing
- 3.3 million: Since the IDR portal launched in April 2022, more than 3.3 million disputes have been initiated, far exceeding projections from the Department of Health and Human Services.
- 87%: Providers continue to win far more often—at 87% compared to just 18% for health plans in Q4 of 2024.
- 447%: Providers are not only winning disputes more often, but when they do, their payment offers are significantly higher—a median of 447% compared to just 105% for health plans.
- 63%: In the first half of 2024, nearly two-thirds (63%) of resolved cases came from just five organizations: Team Health, SCP Health, Radiology Partners, AGS Health, and HaloMD.
- 600% fee increase: CMS increased the administrative fee for initiating arbitration in 2023 from $50 to $350 per dispute, resulting in higher costs for patients and signaling abuse or overuse of arbitration.
- $5 billion: The IDR process has generated at least $5 billion—about $2 to $2.5 billion annually—in total costs (combining required fee payments, administrative costs, and additional payments for services) through the end of 2024.
- 31: The 31 lawsuits filed against the No Surprises Act, implementing regulations and decisions by Independent Dispute Resolution entities are likely to increase costs and wrap the system even more with red tape.
Our Members
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Latest News
By the Numbers: What to Know About the No Surprises Act Implementation
Congress passed the No Surprises Act (NSA) with strong bipartisan support to protect patients from surprise medical bills. Even now, with the NSA protecting patients from millions of medical bills, certain providers continue to undermine the process and weaken the...
Consumers, Employer Groups, Policy Experts, and Health Insurance Providers Support No Surprises Act
For far too long, patients and their families suffered the financial consequences of surprise medical bills. Thankfully, bipartisan passage of the No Surprises Act (NSA), prevented more than 9 million surprise bills from reaching American families across the country...
ICYMI: Patient, Consumer, Union, and Employer Organizations Call on Tri-Agencies to Stand Firm in No Surprises Act Implementation
As litigation efforts continue to target the patient protections in the No Surprises Act (NSA), nearly 60 organizations representing patients, consumers, labor unions, and employers have come together in a letter to the tri-agencies emphasizing the need to stand...